Organization Active NPI

Slonaker Enterprises, LLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1891270229
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SLONAKER ENTERPRISES, LLC
Doing business as
Healthsource of Meridian
Practice address
3329 W Cherry LN
Meridian, ID 83642-1119
Phone
(509) 293-1703
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kurt Frederick Slonaker, DCNPI 1881083400
Title
Owner/Doctor
Phone
(509) 293-1703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3329 W Cherry LN
Meridian, ID 83642-1119

Mailing address

2691 N Larchmont Ave
Meridian, ID 83646-6093
Phone (509) 293-1703

Other names 1

  • Healthsource of Meridian Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116000730 ID Part B Supplier - Clinic/Group Practice 9436495223 Receives reassigned benefits from 2 practitioners
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Locations

1558 N Crestmont Dr
Ste C
Meridian, ID 83642
Phone (208) 572-2100

3329 W Cherry Ln
Meridian, ID 83642
Phone (208) 712-4325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1891270229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 N LARCHMONT AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466093",
            "telephone_number": "509-293-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421119",
            "telephone_number": "509-293-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLONAKER ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "SLONAKER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "509-293-1703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource of Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.